Conclusion
Fatty liver grade 2, diagnosed by a simple USS is a major risk factor for GDM and early pregnancy miscarriage. The prevalence of NAFLD is higher than that is reported elsewhere and in the same context in the past. Pre-conceptional and/or early pregnancy diagnosis of NAFLD probably incorporated to the routine USS in pregnancy should be considered for the early identification of this important risk factor. We recommend to incorporation of USS scan to detect fatty liver with the routine dating scan of pregnancy so that additional preventive health care could be provided for the mothers having grade 2 fatty liver.